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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND ~ONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents JaY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departtent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />UContractor Sectionsu of this application for wbieb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that Jay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of uFlorida's Construction Lien Law - HOJeOWner's Protection
<br />Guideu p{epared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />'owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to COJJenCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developllent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas COlleDced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnviroDJental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />Water/Wastewater Treattent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US BnvironJental Protection Agency - Asbestos ahatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that a drainage plan
<br />addressing a uCOJpensating volUle" will be subtitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
<br />unless the work authorized by sueb perlit is COIIeDced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IODtbs after the tile the work is cOllenced. One 90 day extension of tile, Jay be
<br />allowed for the perlit with fee ebarge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abandoned.
<br />WmlNG TO OlUfER: YOUR FAILURB TO RECORD A NO'1'ICE OF COHHBHCBHBlfT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIHEHTS TO YOUR
<br />PROPERTY. IF YOU IIIBlfD TO OBTAIH FIlWfCIHG, CONSULT WITH YOUR LEIfDER OR AN AnORHBY BBFORE RECORDING YOUR HOTICE OF
<br />COHKBN UlfDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A " OF NCBHBlfT".
<br />I
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<br />
<br />STATB OF FLORIDA
<br />coom OF fJ A.s en
<br />The foregoing instrument was acknowledged
<br />before me this .ffi ep.J ,j, , 19 ~ by
<br />
<br />J{ ElfIf,J~~ AJ
<br />who is personally own to me er wag Bas
<br />presllced
<br />as ideatificatioB and who die/did not
<br />take;& oath. I>
<br />~&~ /ff1~
<br />(Signa ure)
<br />k A T1-Il..-/E:S A.J \ T, J3 RovVtJ
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />coum OF PAs c-e
<br />The foregoing instrument was acknowledged
<br />before me this Sef1-1 .,:L, 19...il- by
<br />
<br />Uti; JJ . rr YJ1 *tAl
<br />who is personally known to me er wBe has
<br />prAdll.....ftll
<br />as ideDti.fh.bliOtl and who &i4/did not
<br />
<br />takeu~~~ g,&~
<br />(Signature) (/
<br />ki+Tff~1 \T .BRtruJN
<br />(Name'Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br /><:>.....~II,,(,.... KATHLEEN J BROWN
<br />~.' My Commission CC449029
<br />* * Expires Apr. 02.1999
<br />
<br />IP.....~ ~:~
<br />,.~ OF f\.\S
<br />
<br />..l\Y PII"
<br />~~'\.n. (~
<br />*'fiiiJJ*
<br />~~,~~
<br />~,.~ OF f\.O~
<br />
<br />KATHLEEN J BROWN
<br />My Commission CC449029
<br />Expires Apr. 02. 1999
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